Artvinli Leyla Berna, Kansu Ozden
Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Feb;95(2):251-4. doi: 10.1067/moe.2003.93.
A few cases of bifid, but no case of trifid mandibular condyle, have been reported in the literature. This article presents the first reported case of trifid mandibular condyle in a living subject with a history of previous trauma to the temporomandibular joint (TMJ). Additionally, the patient's other condyle was bifid. The patient had no complaint related to the functions of TMJ except for minimal weakness following chewing. The etiology and the prognosis of bifid and trifid condyle are discussed briefly. We considered computed tomography essential to rule out early stages of TMJ pathology in similar cases that resemble trifid mandibular condyle on conventional radiographs.
文献中曾报道过几例下颌髁突分叉的病例,但未报道过下颌髁突三分叉的病例。本文介绍了首例有颞下颌关节(TMJ)既往创伤史的活体受试者下颌髁突三分叉的病例报告。此外,该患者的另一侧髁突为分叉状。除了咀嚼后有轻微无力感外,患者没有与TMJ功能相关的主诉。本文简要讨论了髁突分叉和三分叉的病因及预后。我们认为,对于在传统X线片上类似下颌髁突三分叉的类似病例,计算机断层扫描对于排除TMJ病变的早期阶段至关重要。